Individual
LISA MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1500 VILLA DEL VALLE NE, ALBUQUERQUE, NM 87113-1096
(505) 235-8503
Mailing address
1500 VILLA DEL VALLE NE, ALBUQUERQUE, NM 87113-1096
(505) 235-8503
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH1517
NM
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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